Lanza, Kimberky

Lanza, Kimberky is an individual health care provider with primary practice located at 1 Brandywine Dr , Deer Park NY 11729-5721. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Lanza, Kimberky can be contacted via phone (631) 362-0081.

Contact Information

Primary practice address
1 Brandywine Dr Deer Park NY 11729-5721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 007357-1 New York

Profile Details

NPI number 1730497884
LBN Legal business name Lanza, Kimberky
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2010
Last updated Sep 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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